AJP - Renal Watch the video to see how APS reaches out to developing nations.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


Am J Physiol Renal Physiol (September 3, 2008). doi:10.1152/ajprenal.90302.2008
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
295/5/F1563    most recent
90302.2008v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Verzola, D.
Right arrow Articles by Garibotto, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Verzola, D.
Right arrow Articles by Garibotto, G.
Submitted on May 11, 2008
Revised on August 13, 2008
Accepted on September 2, 2008

Accelerated senescence in the kidneys of patients with type 2 diabetic nephropathy

Daniela Verzola1, Maria Teresa Gandolfo2, Gianfranco Gaetani3, Annamaria Ferraris3, Rosa Mangerini3, Franco Ferrario4, Barbara Villaggio2, Fabio Gianiorio2, Fanny Tosetti2, Ursula Weiss, Paolo Traverso1, Mariano Mji5, Giacomo Deferrari2, and Giacomo Garibotto6*

1 Genoa University
2 Genoa University, Nephrology Division
3 Istituto Nazionale per la Ricerca sul Cancro
4 Renal Immunopathology Centre
5 Imperia Hospital
6 University of Genoa

* To whom correspondence should be addressed. E-mail: gari{at}unige.it.

We examined the hypothesis that senescence represents a proximate mechanism by which the kidney is damaged in type 2 diabetic nephropathy (DN). As a first step, we studied whether the Senescence-Associated {beta}-Galactosidase (SA-{beta}-Gal) and the cell cycle inhibitor p16INK4A are induced in renal biopsies from patients with type 2 DN. SA-{beta}-Gal staining was ~3 fold higher (p<0.05) than in controls (C) in the tubular compartment of diabetic kidneys and correlated directly with BMI and blood glucose. P16INK4A expression was significantly increased in tubules (p<0.005) and in podocytes (P= 0.04). Nuclear P16INK4A in glomeruli was associated with proteinuria (p < 0.002) while tubular p16INK4A was directly associated with BMI, LDL-cholesterol and HbA1C ( p<0.001-0.05). In a parallel set of experiments proximal tubule cells (PTEC) passaged under high glucose (HG) presented a limited life span and a ~2-fold increase in SA-{beta}-Gal and p16INK4A protein. Mean telomere (TRF) lengths decreased ~20% as an effect of replicative senescence. In addition, mean TRF decreased further by ~30% in cells cultivated under HG . Our results show that the kidney with type 2 DN displays an accelerated senescent phenotype in defined renal cell types, mainly tubule cells, and, to a less extent, podocytes and endothelia. A similar senescent pattern is observed when incubating PTECs under high glucose media. These changes are associated with shortening tubular telomere length in vitro. These findings indicate that diabetes may boost common pathways involving kidney cell senescence, thus reinforcing the role of the metabolic syndrome on biological ageing of tissues.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1977 by the American Physiological Society.